Mark P Fuller is a Clinical in Keshena, Wisconsin. Mark P Fuller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark P Fuller is 1780859744. The last update date is 2016-03-18.
Mark P Fuller's current location address is Po Box 970, Keshena, Wisconsin. You can contact this provider via phone number 7157995451. The mailing address for Mark P Fuller is Po Box 970, Keshena, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark P Fuller |
|---|---|
| Address | Po Box 970, Keshena, Wisconsin |
| Phone Number | 7157995451 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW, SAC, |
NPI Number Detail
| NPI Number | 1780859744 |
|---|---|
| Provider Enumeration Date | 2008-04-29 |
| Last Updated Date | 2016-03-18 |
Provider Mailing Address Detail
| Address | Po Box 970 |
|---|---|
| City | Keshena |
| State | Wisconsin (WI) |
| Post Code | 541350970 |
| Phone Number | 7157995451 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3082-123 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39691700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark P Fuller by the Centers for Medicare & Medicaid Services?
The Mark P Fuller has been assigned the NPI (National Provider Identifier) 1780859744 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Mark P Fuller?
The Mark P Fuller is physically situated at Po Box 970, in the city of Keshena, state of WI, with the postal code 541350970.
What is Mark P Fuller's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark P Fuller is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780859744 to Mark P Fuller?
The Mark P Fuller received its 1780859744 assignment from the Centers for Medicare & Medicaid Services on 2008-04-29.
When was the Mark P Fuller's information last updated?
The Mark P Fuller's information was last updated on 2016-03-18.